# MY HOUSE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013223098
- **Authorized official:** DONNA RENEE BRAZIL (DIRECTOR)
- **Authorized official phone:** (770) 978-0791

## Contact information

- **Practice address:** 2721 RAVEN WOOD DR, SNELLVILLE, GA 30078-3739
- **Practice address phone:** (770) 978-0791
- **Practice address fax:** (678) 325-1529
- **Mailing address:** 2721 RAVENWOOD DRIVE, SNELLVILLE, GA 30078
- **Mailing address phone:** (770) 978-0791
- **Mailing address fax:** (678) 325-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 067011511 | GA | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 10/21/2010